Individual
COLIN MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
14 W COVE RD, MOODUS, CT 06469-1300
(860) 395-9679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5967
CT
363AM0700X
Medical Physician Assistant
Primary
5967
CT
Other
Enumeration date
11/22/2022
Last updated
01/30/2023
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